Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jason Peter Kidde, PA

Individual provider Physician Assistant · NPI 1750634507

Mr. Jason Peter Kidde, PA is a Physician Assistant in Salt Lake City, Utah. Qualified in 2012, 14 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Utah.

Years since qualifying
14
Licensed in
NY, UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

389 S 900 E
Salt Lake City, UT 84102-2310
Phone: (385) 282-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 525 E 68th St, New York, NY 10065-4870 — (212) 746-5454
  • 1371 E Gilmer Dr, Salt Lake City, UT 84105-1602 — (801) 201-7482

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9096169-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 016175 (NY)

Record details

NPI number1750634507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 17, 2012
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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